{include file="header" /}
    <link rel="stylesheet" type="text/css" href="__CSS__pay/common.css?v={:config('version')}" />
    <link rel="stylesheet" type="text/css" href="__CSS__pay/edit_info_new.css?v={:config('version')}" />
    <link rel="stylesheet" type="text/css" href="__CSS__mobiscroll.custom-3.0.0-beta6.min.css?v={:config('version')}" />
    <script src="__JS__mobiscroll.custom-3.0.0-beta6.min.js?v={:config('version')}" type="text/javascript"></script>
    <script src="__JS__pay/insurance_info.js?v={:config('version')}" type="text/javascript"></script>
    <style type="text/css">
        .edit-basic-info li span{
            width:auto;
        }
    </style>
    <body>
        <div class="wrap wrap4 pt0 edit-basic-info">
            <p class="info-title color6">投保人信息</p>
            <span class="orange-color" style="font-size:12px;">注：保单信息填写要真实有效，此资料作为理赔依据！</span>
            <ul class="white-bg radius10 shadow-bottom wrap4 pt0 bt7 hideUl">
                <li class="clearfix">
                    <span class="fl">被保人姓名：</span>
                    <input type="text" class="fl" id="userName" placeholder="请输入被保人姓名" value="" />
                </li>
                <li class="clearfix pt0">
                    <span class="fl">被保人证件号码：</span>
                    <input type="text" id="idCardNo" placeholder="请输入证件号码" value="" />
                </li>
                <li class="clearfix pt0">
                    <span class="fl">被保人手机号码：</span>
                    <input type="number" class="fl" id="userPhone" placeholder="请输入被保人手机号码" value="" />
                </li>
                <li class="clearfix pt0">
                    <span class="fl">被保人邮箱：</span>
                    <input type="email" class="fl" id="userEmail" placeholder="请输入被保人邮箱" value="" />
                </li>
                <li class="clearfix">
                    <span class="fl">被保人学历：</span>
                    <div class="fl selectb">
                        <select id="userEducation">
                            {foreach  name=":config('education')" as item="vo"}
                                <option value="{$key}">{$vo}</option>
                            {/foreach}
                        </select>
                        <span class="arrow"></span>
                    </div>
                </li>
                <li class="clearfix pt0">
                    <span class="fl">就读学校：</span>
                    <input type="text" class="fl" id="userSchool" placeholder="请填写真实学校名称" value="" />
                </li>
                <li class="clearfix pt0">
                    <span class="fl">就读专业：</span>
                    <input type="text" class="fl" id="classRoom" placeholder="请输入专业" value="" />
                </li>
                <li class="clearfix">
                    <span class="fl">毕业时间：</span>
                    <div class="fl selectb">
                        <input type="text" class="fl calendarTime" id="graduationTime" placeholder="请选择毕业时间" readonly="" value="" />
                        <span class="arrow"></span>
                    </div>
                </li>
                <li class="clearfix">
                    <span class="fl">课程开始时间：</span>
                    <div class="fl selectb">
                        <input type="text" class="fl calendarTime" placeholder="请选择课程开始时间" id="startTime" readonly="" value="">
                        <span class="arrow"></span>
                    </div>
                </li>
                <li class="clearfix">
                    <span class="fl">课程结束时间：</span>
                    <div class="fl selectb">
                        <input type="text" class="fl calendarTime" placeholder="请选择课程结束时间" id="endTime" readonly="" value="">
                        <span class="arrow"></span>
                    </div>
                </li>
                <li class="clearfix pt0">
                    <span class="fl">每次培训课时：</span>
                    <input type="text" class="fl" id="classHour" placeholder="请输入课时（1小时为1个课时）" value="" />
                </li>
                <li class="clearfix">
                    <span class="fl">上课日：</span>
                    <div class="fl class-day">
                        <span class="fl">一</span>
                        <span class="fl">二</span>
                        <span class="fl">三</span>
                        <span class="fl">四</span>
                        <span class="fl">五</span>
                        <span class="fl">六</span>
                        <span class="fl">日</span>
                        <p id="schoolDay" style="display:none;"></p>
                    </div>
                </li>
            </ul>
        </div>
        <div class="footer m-t-10" style="padding-bottom:1rem;">
            <input type="hidden" id="p_id"  value="{$p_id}">
            <input type="hidden" id="order_num"  value="{$order_num}">
            <a class="gradient text-center" id="submitBtn" href="javascript:;">确认并提交</a>
        </div>
    </body>
</html>